Here are my 2 cents: if you can afford it, scope your horse. I know of too many cases where the horse walked like and talked like they had ulcers and then they did not. Yes, scoping does not detect hindgut ulcers but the co-occurrence of the two is very very high.
If you cannot scope, then give a full tube of g or ugard for at least 3 days. If you detect NO improvement in behavior, then I would suspect that ulcers aren’t the problem. IOW, you can use lack of response to tx as a diagnostic tool… but this is NOT NEARLY as reliable as scoping.
FWIW, I have seen improvements in behavior within 48 hours on each horse I’ve scoped and treated. And I was very careful to work against the placebo effect (questioned myself as much as possible) since the good ole p.e. is probably the strongest drug out there known to all
Behaviors can vary from being ornery and “frisky” to ornery and mean, to deadpan quiet and lazy… to just not looking as good as he should…
Medications other than omeprazole have not, to my knowledge, been shown to treat ulcers. However, they have been and can be highly effective in prevention. Ranitidine is probably the most supported in terms of clinical research.
All Omeprazole is NOT created equal! The carrier is the critical component here and the enteric coating on the blue pop rocks has NOT been demonstrated to reliably carry the omeprazole to the inhibitor site. Many are convinced that it works, and I am inclined to think this tx must work sometimes to some extent or there would not be the large number of people here extolling the virtues of the BPRs. Likewise, the other pastes etc may also work (I have a couple of friends who spend $100s monthly for these pastes for competition horses), but there are not, to my knowledge, clinical research findings that support this.
Videos of before and after do not constitute research findings. That’s just like before and after pictures of those who have been on special diets. C’mon folks, join me in this chorus here. We know that pictures don’t constitute research findings.
The research on the Gastrogard and Ulcergard is strong.
I want the alternative treatments to work. I still feed the BPRs to one of my horses (I bought a bunch of it). But if I am really worried about a horse, I will spend the $260 on scoping or do a trial run on Gastrogard and get down to business.
And now that I’ve thought about and researched treatments more fully, I will not be buying anything other than Ulcergard or Gastrogard if I am convinced a horse has ulcers. And my competition horse, who was recently treated with gastrogard, is now on Ranitidine 2x daily, along with a partial tube of GGard before, during, and after travel. The Ranitidine helps to coat the stomach for 2/3 of the day, which should go a long ways toward preventing a reoccurrence.
And my vet, who is brilliant (Wildlifer, my vet’s a God as well, ;-0) advisess the above…